Re: GYN: AdenoCa in situ, Cervix, pregnant

From: Geffrey Klein, MD (gklein@icsi.net)
Fri Jan 28 18:56:18 2000


At 3:25 PM -0600 on 1/28/00, Garry Siegel wrote:

> 31 YO P1011, now 9 weeks, is 6 months post LEEP for AdenoCa in situ of
> the cervix and moderate squamous dysplasia, both with clear margins. The
> first follow up pap at 3 months was normal, and was repeated today and
> is pending.
>
> She has a LTC/S for a breech in her first pregnancy without labor. She
> wishes to VBAC. This is her last planned child.
>
> Questions:
>
> 1. If she ends up with a repeat C/S for some reason, would you do a
> C-hyst?

no.. well unless she is hemorrhaging.. :)

> 2. If she delivers vaginally, and is through with childbearing, and if
> her paps are normal, does she need further treatment (ie a hyst down the
> road a few months)?

not unless the dysplasia comes back

> 3. If she comes to a C/S, and wants no further children, and a hyst is
> contemplated for the future, would you do a TL if requested anyway?

sure.. Might get pregnant between now and then..

_______________________ Geffrey H. Klein, MD

--
_______________________
geffrey.klein@obgyn.net
200 Medical Center Blvd Suite 103
Webster, TX 77598
(281) 332 6723

http://www.geffreyklein.com





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